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Allow APRNs to Deliver Care

The clock is ticking.


As you may know, starting at an unspecified date in 2014, APRNs will no longer be able to order oxygen, home blood glucose monitors, and a number of other durable medical equipment (DME)  items without a physician’s signature. The Centers for Medicare & Medicaid Services (CMS) will start actively enforcing and will expect full compliance with the DME physician signature verification that the face-to-face was completed. The encounter must occur within 6 months before the order is written. Since 1997, APRNs have been authorized by the Secretary to order DME.  Ordering DME for their patients is clearly an activity that is within the scope of practice of APRNs.


ANA is deeply concerned that this regulatory barrier limits the patient’s ability to receive timely and important care. H.R. 3833 would allow nurse practitioners, clinical nurse specialists, and physician assistants to document that the face-to-face encounter required by the ACA has occurred.

Please take a moment to write your Representative today to urge them to cosponsor H.R. 3833, so APRNs can continue providing quality and timely care.

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  • Your Representative

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Dear [Decision Maker],

Sincerely,
[Your Name]
[Your Address]
[City, State ZIP]